DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wolters, Stacey Renae	DOIID	545806	NAIC NPN	2936471

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/1/2002		8/31/2024
Active	Non Resident	Agent	Property	3/1/2002		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/20/2012	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/20/2012	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/20/2012	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/20/2012	11/14/2021
Active	Armed Forces Insurance Exchange	301448	Agent - Casualty	3/1/2002
Active	Armed Forces Insurance Exchange	301448	Agent - Property	3/1/2002
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/26/2012
Active	Bristol West Insurance Company	301655	Agent - Property	7/26/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/15/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/15/2007
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/20/2015	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/20/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/20/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/20/2015	8/21/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Armed Forces Ins Agency Inc -000	553779	Agent - Casualty	11/14/2002
Active	Armed Forces Ins Agency Inc -000	553779	Agent - Property	11/14/2002